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Facial nerve schwannoma: A case report and review of the literature.

Chen MC, Tseng TM, Hung SH, Chen PY - Oncol Lett (2014)

Bottom Line: The typical clinical presentation often includes ipsilateral sensorineural hearing loss/deafness, vertigo and tinnitus.In the present study, the case of a young male patient who presented with recurrent unilateral facial palsy without hearing impairment is presented.The patient's facial weakness recovered three weeks following treatment, however, the tumor subsequently grew.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology Head and Neck Surgery, Shuang Ho Hospital, Taipei Medical University, Taipei 235, Taiwan, R.O.C.

ABSTRACT
A vestibular schwannoma, often termed an acoustic neuroma, is a type of benign primary intracranial tumor of the myelin-forming cells of the vestibulocochlear nerve. The typical clinical presentation often includes ipsilateral sensorineural hearing loss/deafness, vertigo and tinnitus. In the present study, the case of a young male patient who presented with recurrent unilateral facial palsy without hearing impairment is presented. The patient was diagnosed with vestibular schwannoma and received steroidal treatment with prednisolone for two weeks. The patient's facial weakness recovered three weeks following treatment, however, the tumor subsequently grew. The patient then underwent Gamma Knife radiosurgery with a margin dose of 13 Gy. Six months after the radiosurgery, the tumor was stable without progression, and the patient's facial nerve function and hearing remained intact.

No MeSH data available.


Related in: MedlinePlus

Contrast-enhanced T1-weighted magnetic resonance images. (A) Axial and (B) coronal views demonstrate an enhancing mass at the cerebellopontine angle and internal auditory canal, with involvement of the labyrinthine segment and geniculate ganglion (as shown by the arrows).
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f2-ol-08-06-2787: Contrast-enhanced T1-weighted magnetic resonance images. (A) Axial and (B) coronal views demonstrate an enhancing mass at the cerebellopontine angle and internal auditory canal, with involvement of the labyrinthine segment and geniculate ganglion (as shown by the arrows).

Mentions: At the one-year follow-up the tumor had enlarged and extended along the facial nerve to the peri-geniculate area (Fig. 2). Right-sided tinnitus was observed, however, the patient’s hearing remained normal. Gamma Knife radiosurgery using a margin dose of 13 Gy was performed. Six months following radiosurgery, follow-up MRI imaging revealed that the tumor was stable without progression. In addition, the patient’s facial nerve function and hearing remained intact.


Facial nerve schwannoma: A case report and review of the literature.

Chen MC, Tseng TM, Hung SH, Chen PY - Oncol Lett (2014)

Contrast-enhanced T1-weighted magnetic resonance images. (A) Axial and (B) coronal views demonstrate an enhancing mass at the cerebellopontine angle and internal auditory canal, with involvement of the labyrinthine segment and geniculate ganglion (as shown by the arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4214502&req=5

f2-ol-08-06-2787: Contrast-enhanced T1-weighted magnetic resonance images. (A) Axial and (B) coronal views demonstrate an enhancing mass at the cerebellopontine angle and internal auditory canal, with involvement of the labyrinthine segment and geniculate ganglion (as shown by the arrows).
Mentions: At the one-year follow-up the tumor had enlarged and extended along the facial nerve to the peri-geniculate area (Fig. 2). Right-sided tinnitus was observed, however, the patient’s hearing remained normal. Gamma Knife radiosurgery using a margin dose of 13 Gy was performed. Six months following radiosurgery, follow-up MRI imaging revealed that the tumor was stable without progression. In addition, the patient’s facial nerve function and hearing remained intact.

Bottom Line: The typical clinical presentation often includes ipsilateral sensorineural hearing loss/deafness, vertigo and tinnitus.In the present study, the case of a young male patient who presented with recurrent unilateral facial palsy without hearing impairment is presented.The patient's facial weakness recovered three weeks following treatment, however, the tumor subsequently grew.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology Head and Neck Surgery, Shuang Ho Hospital, Taipei Medical University, Taipei 235, Taiwan, R.O.C.

ABSTRACT
A vestibular schwannoma, often termed an acoustic neuroma, is a type of benign primary intracranial tumor of the myelin-forming cells of the vestibulocochlear nerve. The typical clinical presentation often includes ipsilateral sensorineural hearing loss/deafness, vertigo and tinnitus. In the present study, the case of a young male patient who presented with recurrent unilateral facial palsy without hearing impairment is presented. The patient was diagnosed with vestibular schwannoma and received steroidal treatment with prednisolone for two weeks. The patient's facial weakness recovered three weeks following treatment, however, the tumor subsequently grew. The patient then underwent Gamma Knife radiosurgery with a margin dose of 13 Gy. Six months after the radiosurgery, the tumor was stable without progression, and the patient's facial nerve function and hearing remained intact.

No MeSH data available.


Related in: MedlinePlus